Bixby Family Dentistry Pllc

NPI #1730389669 in Bixby, Oklahoma

Provider Information

NPI Number: 1730389669
Entity Type: Organization
Organization Name: Bixby Family Dentistry Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 19, 2007
Last Updated: Jun 23, 2008

Practice Location

Address: 13302 S MEMORIAL DR
City: Bixby
State: Oklahoma
ZIP Code: 74008-3114
Phone: (918) 369-3990

Authorized Official

Name: DR. TERRY JUSTIN REAVIS, D.D.S.
Title: DENTIST
Phone: (918) 369-3990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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